Guitar Camp Registration Form

GUITAR CAMP REGISTRATION FORM

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(form cannot be submitted via internet; please print to complete)

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TODAY’S DATE: ____________________

Indicate your camp selection(s) by circling one or more camps from the following table.

	Dates	Time	Age Group
Camp 1	July 7 to July 11	11:00 am to 12:10 pm	Teens (beginners)
Camp 2	July 7 to July 11	12:20 pm to 1:30 pm	All ages (Intermediate) 'Rock Camp'
Camp 3	July 14 to July 18	11:00 am to 12:10 pm	7 to 9 (beginners)
Camp 4	July 14 to July 18	12:20 pm to 1:30 pm	10 to 12 (beginners)

TUITION: $110.00 per camp

STUDENT’S NAME: ______________________________________________ BIRTHDATE: ______________

PHONE: HOME: ______________________ CELL:_____________________ ALTERNATE: _________________

COMMENTS: ________________________________________________________________________________

____________________________________________________________________________________________

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PARENTS’ NAMES:____________________________________________________________________________

ADDRESS: ______________________________________________ CITY/ZIP: __________________________

E-MAIL ADDRESS: ___________________________________________________________________________

WORK PHONE: _______________________________ CELL PHONE: ________________________________

Return the completed Guitar Registration Form with the corresponding payment ($110.00 per camp). Classes will be limited to the first 10 students who register. To enroll, please call 972-304-8600 or send an e-mail to info@coppellconservatory. A minimum of 4 students will be required per camp. Any camp with less than 4 students will be canceled and payments will be refunded.

NOTE: Students who do not have a guitar may rent one for $5.00 from Coppell Conservatory, and use it for the duration of the camp.

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